Provider Demographics
NPI:1255000444
Name:LEWIS, APRIL (OTR)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MR
Other - First Name:APRIL
Other - Middle Name:T
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:1 FLEET LANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4691
Mailing Address - Country:US
Mailing Address - Phone:904-246-9900
Mailing Address - Fax:
Practice Address - Street 1:75 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4381
Practice Address - Country:US
Practice Address - Phone:770-645-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15869225X00000X
GAOT008484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist